Fort Worth daily gazette. (Fort Worth, Tex.) 1882-1891, 1887-03-21
THE GAZETTE. FORT WORTH TExAs MONDAY MARCH 2l.

thirty-1ve years old, one of whose eye
| had wasted sway on account o
an injury in early childhood
! The eye was removed in the usual man
uer, with the exception that strs0ismu:
| hook was passed beneath the rectic mus
Cles, aud a thread inserted previous tc
their division from the rear membrane
of the eyeball The globe was
drawn for~ard, reedle thrus;
through the membrane near the corner OF
the eye, the nerve found and q thread
inserted as near the center of its sub
stance as possible. The nerve was then
cut, the eve removed and the resulting
hemorrhage controlled by ice.
| The next stage OF the operation was
| the removal of the eye from the rabbit,
one of these animals having been Sc
+ leCted whose iris matched the color OF
the PATIENTS eve. The coniupctiva was
dissected backward and the tendons OF
the recti and oblique divided close
to their insertion, the eye drawn out, the
nerve divided, and then the globe was
transferred to the cavity of the patients
orbit The thread which had pre-
viously been passed through the
patients optic nerve was drawn forward,
inserted into the optic nerve of the
rabbits eye, and the ends of both nerves
brought into contact. Oae end of the
thread was cut short, and the other,
which had oeen passed through the mem
brane near the inner corner of the eye,
was firmly secured by means of piece
of adhesive plaster to the nose. The
four rectl muscles were next
brought into position and sewed to the
c1h-cnn5nnpfivol and tho
junCtiva attached by four stitches to the
band of the same tissue which had been
left around the cornea. The lids
having been closed, iodotorm was
busted over them, and a pad of alb
sorbent cotton and flannel bandage ap-
piled. For seven days the parts were left
undisturbed, but the patient WAS care
fully watched for any feorlie disturb
ance. Nothing OF such nature, however,
occurred, nor was there any ffensiye
odor perceptibla.
On the seventh day, on removing the
bandage end pad, nothing of an abnor-
nal character was observed about the
lids, except a small amount Of mucus
gluing the lashes together. The
corpea presented light hszi-
ness, but this seemed to be superficial.
1 uC ll1CN LIICiIH J IuO eye Sho GptNA III @I
directions, except that divergence was
imperfect. The thread connecting
the nerve was Withdrawn, as were
also those of the superior and
internal recti, but the inferior, being
still firmly aGherent, was elloved 10 re-
man. AIrOpine WAS dropped into the
conjunctival sac, the eye closed, and 10
dofurm and compress used as previously.
On -, \
the eye WAS again examined, as the
patient complained of some annoyance in
if, this being the drsC complaint he had
made. It was discovered that the re-
naming thread attached to the H.
feriOr rectuS had Sl0ughed out and
was found under the lower lid, this no
doubt being The cause Of the slight
sense of irritation experienced, TIE
condition of the eye was as follows
Cornea hszY, but somewhat less SO
than when previously examined; con-
iunctivei well until around the cornea
and to the globe; exposed white Oh this
eye on the outer side had become covered
10 aboug half of it's extent: TeCti
muscles working satisfactorily,
with some Improvement in di-
vergence over that manifested before. A
UOHIH 1ALST LHGFS was i sun III tIeT luI-
provement, the eye being capable Of
movements i'll all directions.
When the operation wse performed
there was 10 idea that visioa by the
transpIanted ORR was to be expected,
and, indeed, there was but little eXpecta-
tion that the transplanted membsr would
even retain its vitality. The operating
physician is of the opinion that if
the filaments OF the eye could be proper
ly united vision might follow, bus this is
as yet more delicate operation thau has
ever been performed. He thinks there
is faint possibility of success
in the case of children, from
the fact that the orOital cavity is imper-
fectly developed, and although the trans
planted eye Of a fuil-grOwn animal
could not be expected 10 Increase II
size, the substitution Of young
dog eye might Oovia5e this iticuIty, SIS
it might, if the union were perfec-, con-
tinue to grow as II could have done i'll its
normal position.